Individual
CARLY ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11600 COLLEGE BLVD STE 230, OVERLAND PARK, KS 66210-2773
(913) 906-0522
Mailing address
23208 W 45TH TER, SHAWNEE, KS 66226-2427
(913) 906-0522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02665
KS
225100000X
Physical Therapist
2008037337
MO
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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